Pages

This Article is sources from OPB news by Kristian Foden-Vencil. The original Title this article is Doctoring Without Health Insurance. I hope this article can help some people for get new knowledge. Let's enjoy.

After 20 years in practice, Dr. Manya Helman recently decided not to accept insurance payments anymore. Helman runs a small clinic in a Salem office building.

"I'm actually enjoying practicing medicine for the first time since I started practice," said Helman.

She says she can take as much time as she wants with a patient and her business doesn't have to deal with all the paperwork.
Doctors often grumble about health insurance companies. The aggravation spent negotiating payments they say, costs money and takes time away from patients. Now some Oregon doctors are opting out of Medicare and refusing to bill health insurance companies, leaving patients to deal with the paperwork themselves.

So now, instead of handing over their insurance details when they arrive, Helman's patients pay up front. Helman charges $85 for a regular check-up, $30 for a vitamin injection, and so on. Patients are given a receipt and it's up to them to get reimbursed by their insurance company.
Patient John Tackett appreciates the change.

"She can tell me how much it's going to cost. How much the labs are going to be, etcetera. it's pretty up-front," says Tackett.

Tackett actually has health insurance -- through the Veterans Administration.

But for him, a doctor's visit the the VA means a 100 mile round trip to Portland. So he uses his health insurance like his car insurance.

For a routine doctor's visit he pays out of pocket and doesn't seek reimbursement, just as he would pay out of pocket to change the oil in his car.

But if he gets really sick and needs to be hospitalized, he'll go to the Veterans Administration -- just as he'd file a claim with his car insurance to pay for a big smash-up.

He says knowing what everything costs is a relief, unlike his previous insurance bills.

"Because you never know, when you open up the mailing, that you're going to be on the hook for several hundred dollars or whether they're going to cover it. You come here, it's going to be cut rate. You know in advance what it's going to cost, you pay it and you get good service," says Tacket. Doctor Helman says she can afford to have lower prices because she doesn't need a big billing staff. In fact, she decided to forego insurance when faced with the decision to hire yet another person to deal with all the insurance codes and paperwork.

"The options are there and open to me to know what is available to me in my financial situation," says Peterson.

Peterson works in a laboratory in Salem, so she has health insurance.

But she pays for visits up front, then takes the paperwork home to get reimbursed. And she says that is inconvenient.

"It is a pain in the neck. Ha ha. It is. And it's time consuming," says Peterson.

But she stays with Doctor Helman.

"I still chose to come here without the insurance, even though it's a negative effect on me financially, because she listens and I understand the not accepting the insurance because she's allowed to treat patients the way she sees," says Peterson.

The new system has also changed life for Doctor Helman's staff as well. Kim Stadli, her medical assistant, says she's relieved not to have to deal with the endless calls about convoluted insurance codes, and the angry patients.

"Most of the patients were very argumentative about you know, I don't understand why this wasn't billed this way, and how come they didn't take more money off, and why do I still owe this much money. It was just a big fight. Mostly with the patients, which I don't like to fight. And now, we don't have that fight. And patients are like, okay, how much do I owe?" says Stadli.

Kristian: "And they write out a check."

Kim Stadli: "And they write out a check."Across the state in Coos Bay, Kathleen Brown is a dermatologist. She foreswore insurance last summer. She concedes she lost some patients and she's had trouble with insurance companies like Regence BlueCross BlueShield of Oregon. ODS was particularly difficult she says.

"They've told their members to go elsewhere. And I've tried talking to them on the phone. They don't care that the rates are lower, they just want it done a certain way," says Brown.

ODS Health spokesman Jonathan Nicholas says the standardized system for coding and billing is part of a simplification process that helps to make healthcare more affordable. And while he says he “deeply respects” Brown’s right to practice medicine as she chooses, ODS needs a code telling what the claim is for in order to pay claims for her patients.

Scott Burton: "To reimburse a provider, we're required to bill by prescribed codes, established by the American Medical Association. These codes allow similar services to be compared one another, from doctor to doctor, apples to apples. So if a doctor like Doctor Brown choses to bill without using these codes, insurers have no way to reimburse for these services."

While Regence's requires those codes, its parent company just started up another company in Portland that doesn't use codes. It's called 'Sprig Health' and it connects patients looking for less expensive care with doctors who are looking for more customers.

It works a little like an on-line travel service. But instead of putting in: three nights; Las Vagas; New Year's Eve; -- patients put in the procedure they need; the time they'd like the appointment; and the location. They can then choose from the options that appear.

Sprig president Chris Gorriaran says the service is growing quickly.

"We have been pleasantly surprised at the rapid response of doctors coming on our site. We have 75 providers on the Sprig site today. And we hope to be at 120 by the end of December. The prices we're seeing on the site are 50 to 75 percent below a standard price that you would see for say an insured customer," Gorriaran says.

It’s hard to tell how many doctors are no longer dealing with insurance companies. But the U.S. 'Centers for Medicare and Medicaid Services' keeps a list of doctors who've opted out of Medicare. In Oregon about 200 doctors are on that list. Across the country the number is in the tens of thousands.

So while a large majority of doctors still bill through insurance companies, it's clear some are forging a new way.

How to maintain remained ideal body weight? To maintain ideal body weight remained there actually are some things that everyone already knows. It is very easy. Noteworthy is the very discipline to run what is already known to them. The ideal body weight every person is different, depending on height and posture. Someone who wants an ideal body weight should be able to withstand something that should not be done. And should always be willing to do what he must do.

To maintain ideal body weight fixed, the first thing i recommend is exercise. Exercise is Important for us. Exercise not only makes the ideal body weight, but also important for the health of internal organs. Ideally, the food that enters the body mostly converted into energy. But the pattern of life now is not too much needed energy. This makes the energy in the body becomes too much, and is deposited as fat as a reserve of food and energy reserves. In a long time, it becomes fat is bad for the body. Gain weight because of how much fat is not turned into energy. So, from my first suggestion is to sports. You can choose a variety of sports that you enjoy.

Tips are second to maintain ideal body weight is not to hold a bowel movement. Try for regular bowel movement every day. You can use fiber foods to make your bowel movements become routine. Indeed it's a matter of habit. And you have to get used to. And try your bowel out thoroughly so that no residue. This i did and you can see i managed to do it. If you maintain your ideal body weight can i do it this way, then you can also do it. You must believe you can, and you trust you to do it easier.

I think it's the easiest thing to do in maintaining remained ideal body weight. In fact many ways that we can do. I hope you will follow my articles so that you also know the steps that we can do in my next articles. Thanks.

Women's health is important to him. A healthy woman will be fun for the people around him. A healthy woman will be apparent from the healthy skin and clear skin. A healthy skin is a dream for many women. women have much to learn about how to how to treat the skin. There are many methods used to maintain healthy skin. No vote in a natural way, usually they use the plants and food medicines or herbs. There also are using chemicals. all have weaknesses and strengths of each.

Women want healthy skin is not wrinkled, dull, and stains. we know that is not good skin will make women feel embarrassed and less confident. one way to create healthy and beautiful skin is to eat foods that are good for the skin. To cope with skin disorders like this, try doing a simple way and a little careful. Eating healthy foods naturally high nutrients, can help prevent skin problems. As the following foods:

Chocolate
Cocoa rich in flavanols, plant compounds with high antioxidant properties that can help protect skin from sun damage. Not only the food, chocolate body scrub also has the same functionality to enhance and maintain good skin health.

Curds
The curd contains calcium and phosphorus that can help strengthen tooth enamel and prevent cavities. Protein in it is an essential nutrient for the production of collagen, or a fibrous substance that makes skin look younger.

Strawberry
Vitamin C and ellagic acid in strawberries is very important to produce collagen which acts as an antioxidant, so it can keep the skin moist and protected from the effects of free radicals.

Avocado
Avocado is rich in antioxidants and essential fatty acids that can help maintain moisture and elasticity of the skin and makes skin smoother. Eat avocados regularly, not only keeping the moisture but also can make the colors brighter skin.

Tea
All types of tea contain flavonoids that are good for the skin. In order to be felt sooner usefulness, try to drink green tea and white. Therefore, both contain two times more antioxidants than any other type of tea.

Almond
Almonds contain large amounts of catalase is an enzyme that can help meperlambat bleaching process in the hair or gray hair. In addition, it is appropriate to maintain the elasticity of the skin

Coffee
Caffeinated drinks this one has a good nutrition to protect skin from sun damage and prevent damage to collagen or elastin, substances that cause wrinkles on the skin.

Bathingisone way thatwe can use torestoreourfreshness.Asolidroutinedailydemands that wecontinually activeandproductive.For this, neededafreshconditionandprimethe bodyso that wecanrun variousactivities throughout theday.One of theways you can dotomake the bodybecomemore freshandstay fitis toshower in the morning.Bathingis an activity thatis veryusefuland has manybenefitsfor thehealth ofthe humanbody.

According to someresearchmorning showerwithcoldwaterhas severalbenefits.customshower in the morningturned outveryusefulfor human health.The followingare 7benefits ofbathingin the morningwithcoldwaterto keep in mind:

1.Shower in the morningcanimprove blood circulation.According to theresearch resultscanshower in the morningblood circulation.so the body willbefresh and fit.

Turn off the lights, because the brain is easier to prepare the body to sleep in a dark room. Make sure the sheets are always clean. Pillows, bolsters and mattresses should also be comfortable so that we can sleep soundly.

2.Set sleepandwake times consistentEveryonehas a biological clockthat recordsand trackssleepingpatterns.When thebody has aregular sleep pattern,your brain will automaticallysend signalsto the body torelax and go tosleep.The bodywill automaticallywake upwhen it was enoughto get a break.

Heart health is the desire of all people. The heart is one of the most important organs. Because the heart has a lot of functionality and usability for our bodies. One of them served heart pumping nutrients and oxygen to all parts of the body. But the task is very heavy, because it must pump blood flow throughout the blood vessels. Even in a single day should be pumping as much as 7000 liters of blood flow in 100 800 times.

1. Exercise regularly.Regular exercise provides a benefit, which prevents reduction of cardiac mass. Normally occurs during aging. Bhella explained "The size of the heart muscle, which is usually measured by left ventricular mass peaked in the early phase of life and begin to diminish over the passive process of aging". When the heart muscle work decreased with age, the heart will grow weaker. The ability to respond tuntunya will also be reduced. This can lead to thickening of the heart by increasing the relative proportion of connective tissue when compared with cardiac muscle.

2. Consumption of fishFish is a source of omega-3 fatty acids, protein and other nutrients. Omega 3 is very helpful to reduce the risk of stroke and heart attack. The American Heart Association recommends eating at least twice a week of omega-3 fats which are found mainly in fish, like salmon.

3. Avoid High CholesterolActually, cholesterol is not always bad for health. Because cholesterol is actually in itself is a type of fat (white) needed by the body for metabolism and the formation of various hormones and enzymes. But if there is a saturated fat is what must be guarded in our body due to excessive cholesterol can damage the health of particularly damaging blood vessels in the brain and heart.

4. Get plenty of restStudies in Japan from the National Cancer Center Tokyo, stating that men who often worked more than 60 hours per week, and slept about five hours to have twice the risk of heart attack.

5. Consumption of fiberAccording to Alice H. Lichtenstein, DSc, a spokesperson from the American Heart Association says that "Research shows that foods that contain lots of fiber was clearly associated with lower risk of heart disease". Fiber is the name for certain types of carbohydrates (from vegetables, plants, and grains) that can not be fully digested by the body. Fiber is a simple replacement. People who consume lots of fiber (derived from plants, contain no cholesterol, and low in calories) may mean he has to choose foods that contain less fat and more calories.

1. Fresh fruit and vegetables. Water-soluble fiber derived from fruit and vegetables, plus the water content of the food makes this a good fat solvent. Eat lots of vegetables to lower your calories. Fruits, vegetables, salad, and legumes contain enzymes that break down fat in the intestine, thus preventing the fat absorbed by the body. Fruits, especially apples and albedo is a source of pectin which can limit the absorption of fat by the body's cells and force the body to bare their fat reserves.

3. High calcium foods. High calcium foods such as milk, yogurt, cheese, and milk products other derivatives can break down the body's fat cells. Milk can also suppress appetite, thus preventing you eat a lot. But if you suffer from high cholesterol, should first consult this with your doctor. It is recommended you drink skim or lowfat milk if it intends to use for a diet.

4. Vitamin C. Vitamin C is plentiful in apples, oranges, cabbage, and broccoli can melt the fat so it can be removed from the body. Orange contains vitamin C which effectively lowers insulin levels and your weight. Levels of its high fiber makes the fruit of this is the fruit with the highest ranking on the list of foods that make full.

6. Green tea. Green tea may speed up metabolism and helps accelerate the burning of fat in the body. Caffeine from green tea is very good for increasing metabolism and does not provide stimulation to the body. This drink also contains antioxidants that can drive away from cancer and heart disease.

7. Spicy red chilli and pepper. And spicy red chili peppers can speed up metabolism and help burn more calories.

8. Olive oil. Olive oil is a fat-burning and can lower cholesterol.

9. Appetizers. Eat soup and vegetables as appetizers and then eat the main menu. This is the best way to control your appetite during the day. Fiber also helps reduce calories and lose weight without feeling hungry. Soup not only serve as the opening of food, but also as a snack (snack). According to research at Penn State University, the pendiet who ate soup before lunch can reduce 100 calories per day. The best soup is the broth or tomato soup instead of cream soup, because of the higher calorie cream soups.

10. Soybeans and their products (tofu, tempeh, soy milk). Soybeans and their products contain lecithin which prevents cells accumulate too much fat and helps break down fat from the body.

11. Oatmeal. Oatmeal breakfast every morning was good for health. Fiber oatmeal including good carbs are consumed, lower cholesterol and provide satiety.

12. Brown rice and wheat. Brown rice or wheat with a bit of a process (rather than white bread, white pasta or white rice) contain lots of fiber. Our stomach feels full quickly speed up metabolism. Fiber is more difficult to destroy the body's metabolism so it last longer.

13. Eggs. Eggs are loaded with protein. Eating eggs for breakfast quite curb your appetite. Fried eggs are made with non-stick frying pan can make it crispy without much fat.

15. Pine Nuts. The content of fatty acids in pine nuts are good for a healthy heart. Pine nuts increase the hormone that makes you feel full.

16. Cheese. Cheese with the content of conjugated linoleic acid (CLA) helps you feel full and burn more fat.

17. Potatoes. Potatoes are high in carbohydrates are often getting a bad reputation but resistant starch in the potatoes helps your body burn fat.

18. Water. Drink plenty of water so that food fat burners can work optimally. Drink plenty of water before meals can reduce the direct portion of your main meal. Water contains no calories, so it is not fattening. Drinking ice water will burn more calories than plain water because our bodies can not directly use the water temperature is too cold or too hot. If the temperature of the water we drink is too cold, the body will convert the water to body temperature according to temperature. This process takes a number of calories. Water is a natural hunger suppressant. Research has proven that water can accelerate the process of weight loss. Researchers in Germany found that people who go on a diet can speed up your metabolism by 30% by drinking 17 ounces of water.

19. CLA (conjugated linoleic acid): conjugated linoleic acid or CLA is commonly referred to as a same form of the essential fatty acid linoleic. Studies show that CLA can burn fat and increase muscle mass formation in the body-which is very good for those dieting. In addition, CLA also observed to increase milk production and increase insulin sensitivity for people with diabetes. CLA is a source of marine fish.

Besides losing weight, Woosey also states some additional benefits of eating a fat-burning, such as: lose belly fat, mengurasi hunger, making sleep better, eliminate cellulite, improve life expectancy, and prevent the risk of heart attacks, cholesterol, and high blood .